Clinical evaluation of liver size and hepatic scintiscan
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The clinical estimation of liver size was evaluated with the use of radioisotope scintiscans as a standard of comparison. It was found that the upper border of liver dullness (as delineated by percussion) was almost always too low. The normal liver may frequently extend below the costal margin and the xiphoid process and yet be impalpable. Percussion offers a more accurate means of estimating the lower border of the normal or the acutely diseased liver. A truer estimation of liver size is obtained in patients with chronic liver disease, presumably because the increased consistency of the organ enhances the detection of its lower border by physical examination.
KeywordsPublic Health Diseased Liver Physical Examination Clinical Evaluation Costal Margin
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